Author Question: The nurse is caring for a client with Parkinson's disease who desires to improve fine motor skills. ... (Read 58 times)

segrsyd · **on:** Jul 23, 2018

The nurse is caring for a client with Parkinson's disease who desires to improve fine motor skills. Which statement should the nurse identify as an appropriate collaborative intervention for this client?

1. Provide assistance as needed with dressing and grooming.
2. Provide assistive devices and educate client to use grab bar and large handled utensils.
3. Make sure lighting and space are adequate for client.
4. Administer medications to improve muscle tone.

Question 2

The nurse is reviewing the Nursing Outcomes Classification (NOC) taxonomy system. To what can the nurse compare this taxonomy?

1. Nursing diagnosis statement
2. Planning portion of the care plan
3. Goal statement of the traditional care plan
4. Implementation phase of the care plan

wilsonbho · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Providing assistance and attending to the client's space would be independent interventions.
Rationale 2: Collaborative interventions are actions the nurse carries out with other health team members, such as physical therapists, social workers, dietitians, and physicians. Collaborative nursing activities reflect the overlapping responsibilities of, and collegial relationships between, health personnel. Providing assistive devices and educating on their proper use would fall into the discipline of physical/occupational therapy, although the nurse will have to assist with reinforcing the teaching and information.
Rationale 3: Collaborative interventions are actions the nurse carries out with other health team members, such as physical therapists, social workers, dietitians, and physicians. Collaborative nursing activities reflect the overlapping responsibilities of, and collegial relationships between, health personnel. Attending to the client's space would be an independent intervention.
Rationale 4: Administering medications would be a dependent intervention.

Answer to Question 2

Correct Answer: 3
Rationale 1: The nursing diagnosis statement must follow the NANDA format.
Rationale 2: Goal setting is part of the planning, but the NOC outcome is narrower in use than general planning.
Rationale 3: The Nursing Outcomes Classification (NOC) describes client outcomes that respond to nursing interventions seen in traditional care plans.
Rationale 4: Implementation is compared to the Nursing Interventions Classification (NIC) taxonomy.